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    RN CARE HOPE MENTAL HEALTH HESI PROCTORED EXAM

    A male client with known auditory hallucinations begins talking loudly and gesturing wildly while in the unit’s day room. Which action should the nurse implement first?

    Explanation & Rationale

    A. Sitting in the chair next to the client may be a supportive action but does not address the immediate concern of the client's behavior. B. Listening to what the client is saying is crucial to understand the content and nature of the auditory hallucinations, which can guide further interventions. C. Escorting the client to his room may be necessary if the behavior poses a risk, but understanding the content of the hallucinations should precede immediate removal. D. Administering a PRN sedative may be considered later based on the assessment, but understanding the nature of the hallucinations and the client's current state is the priority.

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